Transforming Care storyboard

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Transforming Care storyboard ABMU Mental Health Ward F Neath Port Talbot Hospital Date : 15/10/2013 Updated: 25/11/2013 Updated: 09/03/2014 Updated: 2/07/2014 Updated: 1/09/2014 Updated: 14/10/2014

Unit summary and team members Dr Richard Annear Consultant Some of the team Ward F is a 21 bedded in patient unit for individuals between the age of 18 65 Covers in patient care for Neath (Skewen, Bryncoch, Pontardawe) Port Talbot (Briton Ferry, Cymmer, Sandfields) and Ystradgynlais. 5 beds are allocated for patients normally admitted to Cefn Coed Hospital (out of area Swansea) 1 emergency CAMHS bed (16 years 18 years) S136 Suite attached to unit Ward Manager - Jayne Whitney, 2 Deputy Ward Managers, 14 Band 5 Staff Nurses, 10 HCSW, 1 Activity Worker, 1 Occupational Therapist, 1 Occupational Therapy Technician, 1 day a week Psychologist and 1 part time recovery lead nurse.

WARD F MISSION STATEMENT Ward F provides assessment and treatment for adults experiencing acute mental health problems the ward promotes person centred care that endorses therapeutic engagement, rehabilitation and recovery. WARD F PATIENT MISSION STATEMENT Ward F is a place to come when you need help, to give you a break from the stresses of life. It provides a safe environment to battle your demons and supports you physically and mentally through your journey to recovery. It is a place where you are treated equally, as individuals, and are empowered to improve your own emotional wellbeing whilst being treated with dignity and respect THE WARD ETHOS IS... DO WITH, NOT FOR

Ward vision Open and honest communication along with mutual respect and dignity High Standards of Care A safe, calm and reassuring environment Recovery focused and therapeutic activities Patients and their families can expect from Ward F Person centered approach through Care and Treatment Planning To be treated as an equal and empowered to improve your emotional wellbeing Education and information on mental health resources for patients, families and carers

Information and community resources

Information and community resources

Before photos

Recovery Champions of the Month

Meals Individual Meal Planning Community Meetings with patients and questionnaires on the quality at meal times Individual Meal Planning Why? 1. Recovery and choice loss of control in hospital, disempowerment, loss of hope to try and infuse some control, choice, empowerment, responsibility, normality. 2. Engagement Positive engagement and developing the nurse/patient relationship at a time where this maybe compromised. Dialogue and engagement which is imperative when people maybe angry, distressed, fearful and lack of trust. 3. Monitoring of nutritional needs Current climate whereby hospital nutrition is being scrutinized and the fundamentals of care in terms of good nutrition and recovery. Commencement: August 2013 and piloted for 6 weeks and fully embedded in ward culture from October 2013 Management of change followed information, education on why and how, followed by Ward Manager facilitating for 1 week to gain a base line of foreseeable difficulties and barriers.

Individual Meal Planning BARRIERS: CHANGE FOR PATIENTS AND STAFF High expressed anxiety... Concerns that there would not be enough food? Hotel Services Staff Anxious about change Staff concerns for example...if people did not want to order So we... Overcome by positive reinforcement for the reason s outlined previously. Staff rota system on who took responsibility each day Emergency sandwiches ordered daily for any unforeseeable situations.

Individual Meal planning running since October 2013 The Hotel Services Girls

Asked for by our guests, chosen by our guests, named by our guests and cared for by our guests MEET DORMA & NEMO WE HAVENT BEEN EATEN YET DORA Going Strong Since July 2013

Dragons Art Project A joint project between ACORN (Charity organisation), Ward F and The Big Lottery commission - awarded monies towards developing a recovery project through the medium of art. Using Art in recovery helps individuals to be inspired, enriched, gain a sense of achievement, helps develop new skills, helps with relaxation and concentration and nurtures self confidence and self esteem Over several months every Thursday afternoon the Dragons Art Project (Esther) was held guests on the ward were invited to express what recovery meant to them through the medium of art. 3 pieces of art work 2 taken from the art work of one of our guests and a community ceramic what recovery means to you A celebration of recovery and an official unveiling will take place inviting everyone who contributed to the project

Dragons Art Project ideas from sessions

Dragons Art Project in progress

Dragons Art Project completed

CNO VISIT

Dragons Art Project a guest s art

Dragons Art Project